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  • This study analyzes nationwide micro-survey data from the Chinese Longitudinal Healthy Longevity Survey 2018 to assess the impact of home care and medical insurance on the health of older people in China, using factors that influence healthcare utilization. Applying the Andersen model, the findings reveal: (1) Home care and medical service use are complementary, increasing inpatient service utilization and total medical costs. (2) The effect varies by insurance type. Under the New Rural Cooperative Medical Scheme, home care raises inpatient service use and costs. Under Urban Employee/Resident Medical Insurance, home care has no statistically significant impact. Under Public Medical Care for Civil Servants, home care reduces inpatient service use, suggesting substitution. (3) Age-related patterns differ across programs, with the New Rural Cooperative Medical Scheme showing declining utilization, the Urban Employee/Resident Medical Insurance exhibiting a diminishing increase, and the Public Medical Care for Civil Servants indicating potential overuse. The Chinese government should consider restructuring its national medical insurance programs and promoting the substitutive effect of home care to enhance the well-being and social security of the aging population. © International Atlantic Economic Society 2025.

  • The role of school principals is complex and challenging concerning mentoring and engaging teachers and other stakeholders. This study investigates the relationship between principal mentoring (PM) and principal engagement (PE) in schools and assesses the mediating influence of teacher assessment (TA). Data was collected from the Teaching and Learning International Survey (TALIS) Principal Questionnaire (2018), with respondents including principals and members of school management teams from both public and private schools. Data used for this research is accessible in the public domain. Hypotheses were tested using Cronbach alpha, KMO Bartlett test, and the Andrew Hayes model 4. Results show a significant positive relationship between principal mentoring and teacher assessment, teacher assessment and principal engagement, and the mediating effect of teacher assessment on the relationship between principal mentoring and principal engagement. These findings have important practical implications for school administrations and educators, highlighting the importance of supporting principal mentoring initiatives to promote engagement of schools’ stakeholders including teachers, staff, students, and parents. © 2025 Informa UK Limited, trading as Taylor & Francis Group.

Last update from database: 3/25/26, 6:13 PM (UTC)

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